Organization
CAMELOT COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA RICHARDSON LMHC (CLINICAL DIRECTOR)
(727) 692-6682
Entity
Organization
Contact information
Practice address
1412 TECH BLVD, TAMPA, FL 33619-7865
(813) 635-9765
(813) 635-9725
Mailing address
1412 TECH BLVD, TAMPA, FL 33619-7865
(813) 635-9765
(813) 635-9725
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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